NEPOMUCENO HOSPITAL GROUP INC (NPI# 1710334677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710334677 |
| Entity Type | Organization |
| Organization Name | NEPOMUCENO HOSPITAL GROUP INC |
| Practice Address |
444 Bruce St Yreka CA 96097-3450 |
| Mailing Address |
Po Box 992337 Redding CA 96099-2337 |
| Practice Telephone | 7024533799 |
| Practice Fax Number | 7024535741 |
| Mailing Telephone | 7024533799 |
| Mailing Fax Number | 7024535741 |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-05-20 |
| Authorized Official Name | JOHN NEPOMUCENO (SOLE OWNER) |
| Authorized Official Telephone | 7024533799 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | C50728 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
444 BRUCE ST |
| City | YREKA |
| State | CA |
| Zip Code | 96097-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043213549 | Dan C Purtzer | Pathology | 444 Bruce St, Yreka, CA 96097-3450 | 2005-05-27 |
| 1710530696 | Nina Yaftali | Internal Medicine | 444 Bruce St, Yreka, CA 96097-3450 | 2019-07-19 |
| 1467011627 | Saiba Hospitalist Associates | Internal Medicine | 444 Bruce St, Yreka, CA 96097-3450 | 2019-06-11 |
| 1922577535 | Marble Mountain Anesthesia, Inc., A Professional Nursing Corporation | Nurse Anesthetist, Certified Registered | 444 Bruce St, Yreka, CA 96097-3450 | 2018-11-14 |
| 1205335072 | Kim Marie Keller | Registered Nurse | 444 Bruce St, Yreka, CA 96097-3450 | 2018-02-07 |
| 1558873786 | Samuel C Birkholz | Nurse Anesthetist, Certified Registered | 444 Bruce St, Yreka, CA 96097-3450 | 2017-10-27 |
| 1265889562 | Mount Shasta Physicians Inc | Specialist | 444 Bruce St, Yreka, CA 96097-3450 | 2016-05-17 |
| 1093198764 | Premier Health Services Inc | Internal Medicine | 444 Bruce St, Yreka, CA 96097-3450 | 2015-06-30 |
| 1336537174 | Cameron Thomas Lovinger | Nurse Anesthetist, Certified Registered | 444 Bruce St, Yreka, CA 96097-3450 | 2015-01-01 |
| 1952701369 | Siskiyou Hospital, Inc. | General Acute Care Hospital | 444 Bruce St, Yreka, CA 96097-3450 | 2014-09-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376830653 | Paul William Willis | Pharmacist | 807 S. Main St., Yreka, CA 96097 | 2011-07-07 |
| 1578883864 | Ginger A Bert | Chiropractor | 106 Ranch Ln Ste A, Yreka, CA 96097 | 2010-06-09 |
| 1669796611 | Rebekah Joyce Retterath | Dietitian, Registered | 444 Bruce Street, Yreka, CA 96097 | 2010-03-19 |
| 1780849679 | Donna Jean May | Marriage & Family Therapist | 625 Butte Street, Yreka, CA 96097 | 2008-07-21 |
| 1114121589 | Loren Cronk | Marriage & Family Therapist | 208 4th Street, Yreka, CA 96097 | 2007-06-12 |
| 1093928863 | Kristin Rene Kopplin | Psychologist | 1515 South Oregon Street, Suite A, Yreka, CA 96097 | 2007-05-08 |
| 1073735379 | Rivkah Lynn Barmore | Social Worker | 1515 S Oregon, Suite A, Yreka, CA 96097 | 2007-05-03 |
| 1649492091 | Randy Terry Murieen | Social Worker | 1515 S Oregon Street, Suite A, Yreka, CA 96097 | 2007-05-03 |
| 1265654537 | Roy Victor Hall Jr. | Social Worker | 1515 South Oregon St, Suite A, Yreka, CA 96097 | 2007-05-03 |
| 1578785614 | Meadowlark | Assisted Living Facility | 351 Bruce St, Yreka, CA 96097 | 2007-05-02 |
| Find all providers in zip 96097 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356449029 | David Francis Dellalana | Family Medicine | 1501 S Oregon St, Yreka, CA 96097-3425 | 2006-09-20 |
| 1477573947 | Donald E Solus | Family Medicine | 534 N Main St, Yreka, CA 96097-2541 | 2006-07-20 |
| 1831115237 | David J Herfindahl | Family Medicine | 700 S Main St Ste 1, Yreka, CA 96097-3354 | 2006-07-15 |
| 1437153384 | Stephen Kolpacoff | Family Medicine | 101 E Oberlin Rd, Yreka, CA 96097-9645 | 2005-06-09 |
| 1407850498 | Louis Derouchey | Family Medicine | 475 Bruce St Ste 500, Yreka, CA 96097-3463 | 2005-06-08 |
| 1881803096 | Mark Germine | Family Medicine | 2060 Campus Dr, Yreka, CA 96097-9538 | 2007-05-22 |
| 1295802312 | Barbara Best North | Family Medicine | 1519 S Oregon St, Yreka, CA 96097-3425 | 2006-11-30 |
| 1063588895 | Fairchild Medical Group | Family Medicine | 475 Bruce St Ste 500, Yreka, CA 96097-3463 | 2006-11-24 |
| 1750454252 | Donald E Solus | Family Medicine | 534 N Main St, Yreka, CA 96097-2541 | 2006-11-15 |
| 1497844088 | Samuel C Rabinowitz | Family Medicine | 475 Bruce St, Yreka, CA 96097-3474 | 2006-10-12 |
| Find all providers in YREKA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.